Do you have a valid Eye prescription slip or Eye doctor contact details right now?

Upload Your Rx

We have kept your Rx before, you may need to certify your prescription once again and then click the 'Submit' button below to continue checkout, else you can submit you latest Rx too. We'll ship your order ASAP.

*I certify that the prescription attached is true, accurate and obtained from certified Doctor and Optometrist. I have sufficient knowledge to handle plano lenses. ***Your order will be delayed / canceled if the prescription provided can not be matched and verified.

Prescription Slip

Your Name:

Prescription Issued Date:

Prescription Expiration Date:

Optometriest Details

Doctor Name:

Clinic Name:

Clinic Email:

Confirm Email:

Contact Number:

Fax Number:

Right Eye (OD)

Power/Sphere (R):

Base Curve (R):

Diameter (R):

Left Eye (OS)

Power/Sphere (L):

Base Curve (L):

Diameter (L):

*I certify that the prescription attached is true, accurate and obtained from certified Doctor and Optometrist. I have sufficient knowledge to handle plano lenses. ***Your order will be delayed / canceled if the prescription provided can not be matched and verified.